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Protect Medicaid

What this is

Ready-to-use scripts to tell Congress and your state to protect Medicaid as the 2025 law's cuts and new work requirements roll out. For the bill itself, look up HR 1.

What this is, in plain language

The basics

The 2025 budget law, HR 1, cuts close to 900 billion dollars from Medicaid and adds work-paperwork and twice-a-year eligibility checks. But a lot of what happens next is decided by states, which run Medicaid day to day and are already starting to test the new rules.

Medicaid covers about one in five Americans, close to half of all kids, and most people in nursing homes, and it pays for the home care that lets disabled and older people live at home instead of an institution. The Congressional Budget Office estimates about 10 million more people lose coverage, with the biggest changes starting January 2027. Because states run the program, your governor and state legislators matter as much as Congress.

Who this reaches

Who this affects

Medicaid is not other people's program. It is the hospital in a rural county, the aide who helps a grandparent stay in her home, the coverage for nearly half the babies born in America. When a state has to cut Medicaid, everyone who counts on it feels it, and so do the hospitals and nursing homes that keep whole communities running.

Good to know
  • The federal cuts are in HR 1, already law, but the biggest coverage changes start January 1, 2027, and some states are testing work requirements now in 2026.
  • Medicaid is what funds home and community based services, which are optional under the law and often the first thing states cut.
  • The Congressional Budget Office estimates about 10 million more people uninsured, and analysts warn rural hospitals are especially at risk (CBO, KFF).
Federal: your 2 senators and your representative

Call script~30 sec

Hi, my name is [YOUR NAME] and I'm a constituent from [YOUR TOWN, ZIP].

I'm calling about the Medicaid cuts in the 2025 budget law.

I'm asking [SENATOR / REPRESENTATIVE LAST NAME] to protect Medicaid, to oppose deeper cuts, and to restore what was taken, especially the home and community based services families depend on.

Optional, and this line matters: [My family relies on Medicaid, and losing it would change our whole life.]

Can you tell me where [SENATOR / REPRESENTATIVE LAST NAME] stands on protecting Medicaid? Thank you for your time.

Email subject

Please protect Medicaid for families in our state

Email messagepaste into the message box

Dear [SENATOR / REPRESENTATIVE LAST NAME],

I'm a constituent from [YOUR TOWN, ZIP], and I'm writing about the Medicaid cuts in the 2025 budget law.

The law cuts close to 900 billion dollars from Medicaid and adds work-paperwork and twice-a-year eligibility checks. The Congressional Budget Office estimates about 10 million more people will lose coverage. Medicaid covers about one in five Americans, close to half of all kids, and most people in nursing homes, and it pays for the home care that keeps disabled and older people out of institutions. Analysts also warn rural hospitals are at serious risk.

Optional, and worth adding: [My family relies on Medicaid because ...]

I'm asking you to protect Medicaid, to oppose any further cuts, and to work to restore what was taken, especially home and community based services.

Please tell me where you stand. I'd appreciate a written response.

Thank you,
[YOUR NAME]
[YOUR TOWN, ZIP]

Find them: call the U.S. Capitol switchboard 202-224-3121, or look up your address at congress.gov/members.

State: your legislators and governor

Call script~30 sec

Hi, my name is [YOUR NAME] and I'm a constituent from [YOUR TOWN, ZIP].

I'm calling about Medicaid. The 2025 federal law cut Medicaid and pushed big decisions onto states, and our state is deciding how to carry them out.

I want [STATE LEGISLATOR / GOVERNOR LAST NAME] to protect Medicaid coverage here, to fully fund home and community based services, and to keep new paperwork from pushing eligible people off.

Optional: [My family depends on a Medicaid waiver and community services to live at home.]

Where does [STATE LEGISLATOR / GOVERNOR LAST NAME] stand on protecting Medicaid? Thank you.

Email subject

Protect Medicaid and home and community based services in our state

Email messagepaste into the message box

Dear [TITLE AND LAST NAME],

I'm a constituent from [YOUR TOWN, ZIP], writing about Medicaid here at home.

The 2025 federal budget law cut Medicaid and left states to decide much of what happens next. Our state runs Medicaid, so decisions about work requirements, eligibility checks, and home and community based services land right here.

I'm asking you to protect Medicaid coverage, to fully fund home and community based services so disabled and older people can stay in their homes, and to keep new paperwork from pushing eligible families off the program.

Please tell me where you stand. I'd appreciate a written response.

Thank you,
[YOUR NAME]
[YOUR TOWN, ZIP]

Find your Ohio House and Senate members to fill in the brackets above. Your address stays on your device.

Paste and share

Text or DM to one person

Heads up. The 2025 budget law cuts close to 900 billion dollars from Medicaid, and the CBO expects about 10 million more people to lose coverage, with the biggest changes starting January 2027. Medicaid covers nearly half the kids in America, most nursing home residents, and the home care that keeps disabled people out of institutions, and it keeps rural hospitals open. Please call your members of Congress at 202-224-3121 and your state officials, and ask them to protect Medicaid. Two minutes.
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This moves fast and isn't always public right away. Read the source yourself and confirm before acting.
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